Product Details

Apresoline

Hydralazine HCl
20 mg/mL
Solution for Injection
1-mL Clear Glass Vial

DIN/PIN/NPN

00723754

Manufacturer

SteriMax Inc.

Formulary Listing Date

1996-10-01

Unit Price

11.6500

Amount MOH Pays

8.7375

Coverage Status

General Benefit

ODB Formulary Therapeutic Classification

24:08:00 Hypotensive Drugs (for Diuretics see 40:28)

Therapeutic Note

NO

ATC Code

C02DB02

Interchangeable Products

DIN/ PIN/ NPN	Brand name	Unit Price	Amount MOH pays
00723754	Apresoline	11.6500	8.7375
02516160	Hydralazine Hydrochloride Injection, USP	8.7375	8.7375

LU Clinical Criteria

NO

Requirements

NA

EAP Criteria

NO

Product Monograph